Poststreptococcal Myalgia and Myositis

Letters18 June 2019Poststreptococcal Myalgia and MyositisMarije K. Bomers, MD, PhD, Maysa L.M. van Doorn-Schepens, MD, Paul van der Valk, MD, PhD, and Edgar J.G. Peters, MD, PhDMarije K. Bomers, MD, PhDAmsterdam UMC, Vrije Universiteit Amsterdam, and Amsterdam Infection & Immunity, Amsterdam, the Netherlands (M.K.B., M.L.V., E.J.P.)Search for more papers by this author, Maysa L.M. van Doorn-Schepens, MDAmsterdam UMC, Vrije Universiteit Amsterdam, and Amsterdam Infection & Immunity, Amsterdam, the Netherlands (M.K.B., M.L.V., E.J.P.)Search for more papers by this author, Paul van der Valk, MD, PhDAmsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands (P.V.)Search for more papers by this author, and Edgar J.G. Peters, MD, PhDAmsterdam UMC, Vrije Universiteit Amsterdam, and Amsterdam Infection & Immunity, Amsterdam, the Netherlands (M.K.B., M.L.V., E.J.P.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0589 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Streptococcal disease has several immunologically mediated complications, including acute rheumatic fever, poststreptococcal glomerulonephritis, and erythema nodosum.Objective: To describe an immunologically mediated complication of streptococcal disease that is less well recognized.Case Report: A 34-year-old man presented to our hospital with his third episode of debilitating myositis after a sore throat. In the first episode in April 2013, the sore throat resolved in about 5 days after he received feniticillin. He then had severe bilateral pain in his upper leg and calf muscles. By day 10, he was unable to walk without support. When we saw him, he did ...References1. Harats N, Gur H, Rubinow A. Acute poststreptococcal polymyalgia. Ann Rheum Dis. 1986;45:47-9. [PMID: 3954458] CrossrefMedlineGoogle Scholar2. Jansen TL, Janssen M, Macfarlane JD, de Jong AJ. Post-streptococcal reactive myalgia: a novel syndrome secondary to infection with group A or G streptococci. Br J Rheumatol. 1998;37:1343-8. [PMID: 9973162] CrossrefMedlineGoogle Scholar3. Subramanian S, Carty JE, Gaywood I. A rare case of recurrent post-streptococcal myalgia [Letter]. Rheumatology (Oxford). 2002;41:827-8. [PMID: 12096237] CrossrefMedlineGoogle Scholar4. Arun Babu T, Venkatesh C. Post streptococcal myalgia: an under-recognized clinical syndrome. Indian J Pediatr. 2012;79:383-5. [PMID: 21695379] doi:10.1007/s12098-011-0507-9 CrossrefMedlineGoogle Scholar5. Venuta A, Ferrari P, Beverelli A, Bettelli F, Laudizi L. Acute post-streptococcal polymyalgia: two new cases with a review of the literature. Eur J Pediatr. 1995;154:475-6. [PMID: 7671947] CrossrefMedlineGoogle Scholar6. Alshaikh M, Kakakios AM, Kemp AS. Orbital myositis following streptococcal pharyngitis [Letter]. J Paediatr Child Health. 2008;44:233-4. [PMID: 18377374] doi:10.1111/j.1440-1754.2008.01288.x CrossrefMedlineGoogle Scholar7. Culligan B. Orbital myositis following streptococcal pharyngitis in a pediatric patient. Optometry. 2005;76:250-8. [PMID: 15832845] CrossrefMedlineGoogle Scholar8. Gremse DA, Walterspiel JN. Acute poststreptococcal polymyalgia with trismus. Pediatrics. 1987;80:953-4. [PMID: 3317265] CrossrefMedlineGoogle Scholar9. Ostrom K, Syan R, Barber L, Miller D, Venkatasubramani N, Ravindra A, et al. Index of suspicion. Pediatr Rev. 2014;35:396-404. [PMID: 25183775] doi:10.1542/pir.35-9-396 CrossrefMedlineGoogle Scholar10. Purcell JJ, Taulbee WA. Orbital myositis after upper respiratory tract infection. Arch Ophthalmol. 1981;99:437-8. [PMID: 7213161] CrossrefMedlineGoogle Scholar11. Alonso Ortiz L, Jimenéz García JJ, Arnaiz Peña S, García-Consuegra J. [Post-streptococcal acute polymyalgia: apropos of two cases]. An Esp Pediatr. 1989;31:165-6. [PMID: 2624345] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Amsterdam UMC, Vrije Universiteit Amsterdam, and Amsterdam Infection & Immunity, Amsterdam, the Netherlands (M.K.B., M.L.V., E.J.P.)Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands (P.V.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0589.This article was published at Annals.org on 22 January 2019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPoststreptococcal Myalgia and Protracted Febrile Myalgia Syndrome: Similar Yet DifferentPerianal streptococcal disease in childhood: systematic literature reviewA case of dropped head syndrome due to focal myositis that worsened with cellulitis and improved only by treatment of cellulitis 18 June 2019Volume 170, Issue 12Page: 901-904KeywordsBiopsyCreatine kinaseErythemaMusclesMyalgiaMyositisPenicillinPharynxResearch laboratoriesStreptococcal infections ePublished: 22 January 2019 Issue Published: 18 June 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...